Transcranial Magnetic Stimulation of the Motor Cortex in Cervical Spondylosis and Spinal Canal Stenosis

@article{Kameyama1995TranscranialMS,
  title={Transcranial Magnetic Stimulation of the Motor Cortex in Cervical Spondylosis and Spinal Canal Stenosis},
  author={Osamu Kameyama and K Shibano and Hiroaki Kawakita and Ryokei Ogawa},
  journal={Spine},
  year={1995},
  volume={20},
  pages={1004-1010}
}
Study Design. This study investigated the clinical usefulness of motor evoked potentials and a silent period after motor evoked potentials produced by transcranial magnetic stimulation of the brain. Objective. The results were correlated with the clinical state of the patients with myelopathy, whereas no abnormality of the conduction time was observed in the patients with spinal canal stenosis. Summary of Background Data. Magnetic stimulation has been widely used for examination of the… 
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MEPs and SEPs are normal in most cases of asymptomatic cervical stenosis, and data indicate that MEP and SEP may be clinically useful for differentiating patients with cervical stenotic who have myelopathy from those who have not.
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Exercise increases the sensitivity of MEPs in detecting the roots under functional compression in LSS, and there was a significant difference between the MEPLT and the PMCT values measured before and after exercise in patients with signs of neurological deficit.
Systematic Correlation of Transcranial Magnetic Stimulation and Magnetic Resonance Imaging in Cervical Spondylotic Myelopathy
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Transcranial magnetic stimulation showed excellent correlation with magnetic resonance Imaging findings and can be considered as an effective technique for screening patients for cervical cord abnormalities before magnetic resonance imaging in the clinical setting.
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